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CERTIFICATE OF LIABILITY INSURANCE (253) A CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 0DATE 3/26/2/013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of New York, Inc. PHONE FAX c/o 26 Century Blvd. 877-945-7378 888-467-2378 P. O. Box 305191 E-MAIL certificatesQwillis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA: Greenwich Insurance Company 22322-001 INSURED Atkins North America, Inc. INSURER B: American Guarantee & Liability Insurance 26247-001 2001 NW 107th Avenue INSURERC:underwriter's at Lloyds 15792-001 Miami, FL 33172-2507 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:19543087 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A GENERAL LIABILITY Y Y CGG740901602 4/1/2013 4/1/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ 300,000 CLAIMS-MADEIX IOCCUR MED EXP(Anyone person) $ 10 000 X Contractual Liability PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY -X] PRO- IFCT X LOC $ A AUTOMOBILE LIABILITY Y Y CAH740901702 4/1/2013 4/1/2014 COMBINED SINGLE LIMIT 2,000,000 (Ea accident) $ X ANYAUTO BODILY INJURY(Per person) $ X ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED PROPERTYDAMAGE AUTOS (Peraccident) $ B X UMBRELLA LIAB X OCCUR Y AUC924234901 4/1/2013 4/1/2014 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$Zero $ A WORKERS COMPENSATION Y CWG740901502 4/1/2013 4/1/2014 X wcsTATU- 0TH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? 'Mandatory,in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Professional B080111209P13 4/1/2013 4/1/2014 $1,000,000 Each Claim & Liability-Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach A'cord 101,Additonal Remarks Schedule,if more space is required) Re: City of Clearwater. Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV Underwriters at Lloyd's London AM Best Rating: A XV. Professional Liability policy written on claims-made basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater Engineer of Record AUTHORIZED REPRESENTATIVE 100 S. Myrtle Avenue t Engineering - Suite 220 Clearwater, FL 33756 Coll:4047437 Tpl:1610622 Cert:19543087 ©1988-2010ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 33004588 LOC#: ADDITIONAL REMARKS SCHEDULE Paged of 2 AGENCY NAMED INSURED Atkins North America, Inc. Willis of New York, Inc. 2001 NW 107th Avenue POLICY NUMBER Miami, FL 33172-2507 See First Page CARRIER NAIC CODE See First Page EFFECTIVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE There are no Deductibles or Self-Insured Retentions on the General Liability, Automobile Liability, Workers Compensation and Umbrella coverages. Coverage for Contractual Liability is provided under the Auto Liability policy. City of Clearwater is included as an Additional Insured as respects to General Liability, Auto Liability and Umbrella Liability. General Liability and Auto Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of Subrogation applies in favor of City of Clearwater with respects to General Liability, Auto Liability and Worker's Compensation, as permitted by law. ACORD 101 (2008/01) Coll:4047437 Tpl:1610622 Cert:19543087 ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CGG740901602 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s)Of Covered Operations ANY PERSON OR ORGANIZATION WITH WHOM YOU VARIOUS AS REQUIRED PER WRITTEN HAVE AGREED,THROUGH WRITTEN CONTRACT, CONTRACT. AGREEMENT OR PERMIT,EXECUTED PRIOR TO THE LOSS,TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these Include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury"or damage" or 'personal and advertising injury" "property damage"occurring after: caused,in whole or in part,by: 1. All work, including materials, parts or equip- 1. Your acts or omissions;or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service,maintenance behalf, or repairs)to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed,or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 Oc ISO Properties,Inc.,2004 Page 1 of 1 0 POLICY NUMBER:CGG740901602 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or lanizatian�s: Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WITH WHOM VARIOUS AS REQUIRED PER WRITTEN YOU HAVE AGREED,THROUGH WRITTEN CONTRACT. CONTRACT,AGREEMENT OR PERMIT,EXECUTED PRIOR TO THE LOSS,TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to.compfete this Schedule,if not shown above,will be shown in the Declarations. Section If — Who Is An Insured is amended to Include as an additional insured the person(s) or organization(s)shown in the Schedule,but only with respect to liability for"bodily injury"or"property dam- age"caused, in whole or in part, by"your work"at the location designated and described in the sche- dule of this endorsement performed for that addi- tional insured and included in the "products- completed operations hazard". CG 20 37 07 04 (D ISO Properties,Inc.,2604 Page 1 of 1 LR WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Persons or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule, if not shown in the Declarations. The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. This endorsement is executed by the Greenwich Insurance Company Premium$ Effective Date 4/1/2013 Expiration Date 4/1/2014 For attachment to Policy No. CGG740901602 Issued To Atkins North America, Inc. Countersigned by Authorized Representative Issued Sales Office and No. Rnd. Serial No. 17 CG 24 04 05 09 ©ISO Properties, Inc. POLICY NUMBER: CAH740901702 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Countersigned By: 4/1/2013 Named Insured: (Authorized Representative) Atkins North America, Inc. SCHEDULE Name of Person(s)or Organization(s): Any person or organization with whom you have agreed, through written contract, agreement or permit executed prior to the loss, to provide primary additional insured verbiage. (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an"insured"for Liability Coverage,but only to the extent that person or organization qualifies as an"insured"under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office Inc. 1998 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: Business Auto Coverage Form Garage Coverage Form Truckers Coverage Form Motor Carrier Coverage form SCHEDULE Premium: INCL Name of Persons or Organization: Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your operations of a covered auto done under contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. Policy No. CAH740901702 Issued By: Greenwich Insurance Company Effective Date 4/1/2013 Expiration Date 4/1/2014 Sales Office: 0001 Endt. Serial No.35 AX 12 10 02 05 B Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC000313 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this polity. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule As required by written contract This endorsement changes the policy to which it is attached effective on the date issued unless otherwise stated, (The information below is required only where this endorsement is Issued subsequent to preparation of the policy) Endorsement Effective Policy No.CWG740901502 Endorsement No. Insured Atkins North America,Inc. Premium Insurance Company Greenwich Insurance Company WC 00 03 13 (Ed,4184) 1983 National Council on Compensation frisurance POLICY NUMBER:CGG740901602 COMMERCIAL GENERAL LIABILITY CG 02 24 10 93 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided tinder the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days'Notice 90 (if no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement) For any statutorily permitted reason other than Policy Condition or as amended by an applicable nonpayment of premium, the number of days state cancellation endorsement, is increased to the required for notice of cancellation, as provided In number of days shown in the Schedule above. paragraph 2.of either the CANCELLATION Common CO 02 2410 93 Copyright,Insurance Services Office,Inc.,1992 POLICY NUMBER:CAH740901702 XIC 405 1007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION BY US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. Changes In Conditions The number of days required for notice of cancellation by us for any reason other than nonpayment of premium,as provided in either paragraph 2.of the CANCELLATION Common Policy condition or as amended by an applicable state cancellation endorsement,is extended to the number of days shown in the Schedule below, SCHEDULE Number of Days'Notice,90 All other terms and conditions of this policy remain unchanged. (Authorized Representative) XIC,405 1007 02007,XL America,Inc. Page 1 of I Includes copyrighted material of Insurance Office,Inc-,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 01 10 1Fd_110131 THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY- EARLIER NOTICE OF CANCELLATION PROVIDED BY US ENDORSEMENT This endorsement modifies insurance provided under the following, WORKERS'COMPENSATION AND EMPLOYERS'LIABILITY INSURANCE POLICY Number of Days Notice:90 (if no entry appears above,information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement-) For any statutorily permitted reason other than nonpayment of premium, the number of days reqtjived for notice of cancellation, as provided in PART SIX — CONDITIONS, D. Cancellation of the Workers' Compensation and Employers'Liabi]11y Insurance Policy or as amended by an applicable state cancellation endorsement,is Increased to the number of days shown in the Schedule above. All other terms and conditions remain the same. This endorsement changes the policy to which It is attached and is effective on the date issued unless otherWiso stated, (The infon-nation below is required only when this endorsement is issued subsequent to preparation of the polity) Endorsement Effective April 1,2013 Policy No.CVVG740901502 Endorsement No, Insured ATKIW US HOWINGS INC. Insurance Company Greenwich Insurance Company WC 99 01 10 Ed,110a Willis Limited FWEXGlobal Willis CONTRACT ENDORSEMENT INSURED: WS Atkins Plc and as more fully defined in the contract PERIOD- I April 2013 to 31 March 2014 TYPE: Insurance of UK PI Generic Primary UNIQUE YLUMET REPERENCE. B080111209P13 FNTPORSENIEW REFERENCE- 0002 EFFECTIVE DATE: I April 2013 local standard time at the address of tholusured. It is hereby noted and agreed that with effect from the effective date above the following General Condition is added to the policy: "If INSURERS cancel this policy prior to its expiry date by notice to the INSURED for any reason,INSURERS will send written notice of cancellation to the persons or organisations listed in the schedule to be created and maintained by the INSURED(the"Cancellation Notice Schedule)at least 36 days prior to the cancellation date applicable to the policy. This notice will be in addition to any notice to the INSURED. The INSURED will provide an updated copy of the Cancellation Notice Schedule to Insurers on a monthly basis. The notice referenced in this endorsement is intended only to be a courtesy notification to the persou(s)or organisation(s)named in the Cancellation Notice Schedule in the event of a pending cancellation of coverage. INSURERS have no legal obligation of any kind to any such person(s) or organisation(s). Any failure to provide advance notice of cancellation to the person(s)or organisation(s)named in the Cancellation Notice Schedule will impose no obligation or liability of any kind upon INSURERS,will not extend any policy cancellation date and will not negate any cancellation of the policy. INSURERS are not responsible for verifying any infomiation in any Cancellation Notice Schedule,nor are INSURERS responsible for any incorrect infonnation that the INSURED may All other terjus and conditions remain unaltered. vhifis WIA-1 09d I Wiffli knevral Re'W02